Identifying modifiable factors that influence walking in patients undergoing surgery for neurogenic claudication: a prospective longitudinal study.

ABSTRACT: Neurogenic claudication, caused by lumbar spinal stenosis, is the most common reason for spinal surgery in older adults, aiming to improve pain and walking. However, most people do not increase walking post-operatively. This study aimed to identify modifiable physical and psychosocial factors that could be targeted with rehabilitation. A prospective longitudinal study recruited 97 adults, aged > 50 years, awaiting surgery for neurogenic claudication. Walking measures (six-minute walk test, daily step count, self-rated maximum walking distance) were assessed pre-surgery and 12-weeks post-surgery. Modifiable variables, mapped to a behaviour change model (COM-B; e.g. falls, lower limb performance, fear of movement, illness perceptions), were evaluated using mixed-effects regression models. Al

SUBMITTER: McIlroy S 

PROVIDER: S-EPMC11811296 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature